Management of catheter-related infection

Abstract

Nosocomial infections related to the development of catheter-related infections are a leading cause of morbidity and mortality among critically ill hospitalized patients. Despite important preventive efforts, these infections remain a daily concern for most clinicians. Significant improvements in the knowledge of their pathophysiology and diagnosis allow us to treat them more efficiently. Current practices, such as guidewire exchange of catheters suspected to be the source of clinical sepsis, are supported by indirect evidence only. Infected catheters should systematically be removed, but some of them may be salved by combining systemic and antibiotic-lock treatment. After reviewing some specific therapeutic aspects, we suggest a practical approach to manage catheter-related infections.

Keywords::

• antibiotic-lock therapy
• bloodstream infection
• catheter-related infection
• critical care
• guidewire exchange
• nosocomial infection

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.